Professional Dental Alliance of Rochester, Pllc

NPI #1871005074 in Rochester, Michigan

Provider Information

NPI Number: 1871005074
Entity Type: Organization
Organization Name: Professional Dental Alliance of Rochester, Pllc
Primary Specialty: Dentist
Enumeration Date: Oct 27, 2017
Last Updated: Oct 27, 2017

Practice Location

Address: 600 N MAIN ST STE 100
City: Rochester
State: Michigan
ZIP Code: 48307-1491
Phone: (248) 652-1010

Authorized Official

Name: ANNETTE MARLOW
Title: CREDENTIALING SUPERVISOR
Phone: (724) 698-2119

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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